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Seizure Action Plan School Year 20___/20___(To be completed by treating healthcare provider) Name: ___ Student ID: ___ DOB: ___/___/___ Seizure triggers or warning signs: ___ ___ CISD staff will administer
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How to fill out seizure action plan school

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How to fill out seizure action plan school

01
Start by obtaining a seizure action plan form from your child's school. This form is usually provided by the school nurse or administration.
02
Fill out the top section of the form with your child's name, date of birth, and other personal information as required.
03
Consult with your child's healthcare provider to gather all necessary medical information. This may include details about the type of seizures, triggers, medications, emergency contacts, and any specific instructions.
04
Complete the medical information section of the seizure action plan form accurately and in detail. Ensure all information is up-to-date and reflects your child's current medical condition.
05
Review the completed form thoroughly to ensure all relevant information is included and accurate. Make any necessary changes or additions.
06
Sign and date the form to certify that the information provided is true and accurate.
07
Return the completed seizure action plan form to the school nurse or designated school staff member responsible for managing medical records.
08
Keep a copy of the completed form for your own records, so you can provide it to other relevant parties as needed, such as substitute teachers, extracurricular activity leaders, or during field trips.

Who needs seizure action plan school?

01
Any student who has been diagnosed with epilepsy or any other condition that may result in seizures may need a seizure action plan for school.
02
This includes students who have a history of seizures, have experienced seizures in the past, or are currently being treated for seizures.
03
A seizure action plan helps school personnel understand how to respond appropriately during a seizure and ensure the safety and well-being of the student.
04
It provides crucial information about the student's condition, including triggers, medications, emergency contacts, and any specific instructions for managing seizures.
05
Having a seizure action plan in place is essential to ensure that the student's medical needs are properly addressed and that appropriate actions are taken in case of a seizure.
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A seizure action plan for school is a document that outlines the procedures and protocols to follow when a student with epilepsy or seizure disorders has a seizure at school.
Parents or guardians of students with seizure disorders are typically required to file a seizure action plan with the school.
To fill out a seizure action plan, parents should provide specific information such as the type of seizures, triggers, first aid steps, emergency contact information, and any medications the student takes.
The purpose of a seizure action plan is to ensure that school staff are prepared to respond appropriately and quickly to a student's seizure, ensuring their safety and well-being.
The plan must report the student's medical history regarding seizures, description of seizures, triggers, emergency procedures, and the names and contact information of medical providers.
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